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강미리 ( ) - 이화여자대학교 간호대학
김선경 ( ) - 이화여자대학교 간호대학
방주미 ( ) - 이화여자대학교 간호대학
안지은 ( ) - 이화여자대학교 간호대학
윤영 ( ) - 이화여자대학교 간호대학
이설희 ( ) - 이화여자대학교 간호대학
장혜경 ( ) - 이화여자대학교 간호대학
정소영 ( ) - 이화여자대학교 간호대학
차은지 ( Cha Eun-Ji ) - 이화여자대학교 간호대학
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Abstract
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Delivery experience to a woman is an important developmental stage which she recognizes the true identity of herself as she experiences meaning of life. Satisfactory delivery experience will increase her confidence as she begins her motherhood and increase her self-esteem as a mother. this research conducts the difference between the women who gave birth at the traditional hospital and the women sho gave birth at a midwife clinic to perceive the perception of the women from different clinics. This research will provide data base which will influence the perception of women about delivery method, place, and the environment. The data was collected at 4 midwife clinics, 8 general hospitals in Seoul and Kyonggi do from January 12 to January 27, 2005. The subjects were 117 women who had a traditional hospital deliveries and 120 women who selected the type of delivery they wanted at midwife clinic. So total 237 people was participated in this research. The instrument is ’Perception Of Birth Experience Scale’which was translated by cho, mi Young(1998) based on Marut & Mercer’s(1997) tool and made up of 29 entries. The data was analyzed by using frequency, percentage, average, standard deviation, ANOVA, ANCOVA, T-test and Ducan’s test with the SPSSWIN 12.0 program. The results of the study were as follows : 1. There were statistically significant differences in perception of delivery experience(p=.000) between two groups. Those women sho selected their type of delivery at midwife clinic(4.472) perceived delivery experience to be more satisfactory overall than those who had a traditional hospital delivery(3.153) 2. There were statistically significant differences in there two groups of women and how perceived the delivery experience related to obstetrical factor, delivery method, delivery location, medical staff, family and husband participation during labor and delivery. 1) those sho participated in childbirth education(3.909) had more favorable experience than those who didn’t participate(3.730) in childbirth education(p=.045). 2) different positions during delivery has different perception for women(p=.000). Selected delivery type(4.446) showed highest satisfactory perception and water birth(4.409), sitting birth(wheel birth, 4.138) limited selected delivery(3.793), etc (3.545) and traditional hospital delivery(3.208) followed. 3) medical staff who delivered the babies also affected the delivery experience(p=.000), with the midwife(4.476) being more satisfactory than the OBGYN(3.160). 4) during the labor, In perception of delivery (p=.000) family participation(3.857, 4.061) eased the experience for the new mothers than those family who didn’t(3.357, 3.112). when the husband was part of the experience, the involvement of the husband played a big role during the delivery experience(p=.000) very satisfactory(4.248), satisfactory(3.941), very unsatisfactory(3.104), and unsatisfactory (3.104). All of these-staff, type of delivery, family participation, child birth education play a role in delivery experience and perception of delivery. Those who had satisfactory experience with midwife had positive relationship with their child and increased self confidence as a mother. We can provide information about various type of delivery and different possible lacations for delivery th the womenwith normal pregnancy. Those who are in risky pregnancy need to be monitored by traditional hospital delivery method and decrease the risk and provide safe delivery environment. Based on the results of this study, the following recommendation were made : 1. Further research can be done to provide different family participation methods to increase positive delivery experience. 2. Information about various types of delivery and different possible locations for the delivery need to be included in these childbirth education programs. 3. Research comparing the maternal role performance and the self esteem of the mothers from two different locations for traditional hospital delivery and maternity hospital delivery.
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KeyWords
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원문 및 링크아웃 정보
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등재저널 정보
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